TYLER COLLIN SPARKS
NPI 1639782899
Military Health Care Provider - Independent Duty Corpsman in Camp Pendletion, CA

Active since August 27, 2020
1 MRB, CAMP PENDLETION, CA 92055(760) 725-5298 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Collin Sparks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER COLLIN SPARKS (NPI 1639782899) is an individual independent duty corpsman provider in Camp Pendletion, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1639782899
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTYLER COLLIN SPARKS
Location Address1 MRBCamp Pendletion, CA 92055
Mailing AddressPo Box 555341Camp Pendleton, CA 92055-5341 · (760) 725-5298
Sole ProprietorNo
Enumeration DateAugust 27, 2020
NPPES CertifiedAugust 24, 2020
NPI 1639782899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1 MRB, Camp Pendletion, CA 92055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Sparks's NPI number?

The NPI number for Tyler Sparks is 1639782899. It was assigned to this individual provider in the NPPES registry on August 27, 2020.

Where is Tyler Sparks located?

Tyler Sparks practices at 1 Mrb, Camp Pendletion, CA 92055. The listed phone number is (760) 725-5298.

What is Tyler Sparks's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Tyler Sparks was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.